Acne Scar Treatment at EMAN Aesthetics
Understanding Acne Scars
Acne scars develop due to deep inflammation in the skin, leading to collagen breakdown and abnormal healing. The main types of acne scars include:
- Atrophic Scars (depressed scars due to collagen loss)
- Ice Pick Scars: Deep, narrow scars that extend into the dermis
- Boxcar Scars: Broad, sharply defined edges with a box-like appearance
- Rolling Scars: Wave-like depressions caused by fibrous bands pulling the skin downward
- Hypertrophic & Keloid Scars (raised scars due to excess collagen production)
At EMAN Aesthetics, we take a multimodal approach to acne scar treatment, tailoring the protocol to your skin type and scar severity for optimal results.
Our Acne Scar Treatment Protocol
1. Microneedling
Microneedling uses fine needles to create controlled micro-injuries in the skin, stimulating collagen and elastin production. This helps smooth out mild to moderate rolling and boxcar scars over multiple sessions.
- Best for: Mild atrophic scars, skin texture improvement
- Downtime: Minimal (redness for 24-48 hours)
- Sessions needed: 3-6 sessions, spaced 4-6 weeks apart
2. RF Microneedling (Radiofrequency Microneedling)
RF Microneedling combines traditional microneedling with radiofrequency energy to deliver deeper collagen remodeling and skin tightening. It is highly effective for deep rolling scars and boxcar scars, as well as overall skin rejuvenation.
- Best for: Moderate to severe atrophic scars, skin laxity
- Downtime: Mild redness and swelling for 2-4 days
- Sessions needed: 3-5 sessions, spaced 4-6 weeks apart
3. Subcision with Taylor Liberator
Subcision is a minor surgical procedure that releases fibrotic bands pulling down rolling scars. At EMAN Aesthetics, we use the Taylor Liberator, a specialized instrument that provides more precise and effective subcision with minimal trauma. This technique allows the skin to lift and smooth out naturally over time.
- Best for: Stubborn rolling scars with tethering
- Downtime: Mild swelling and bruising for 5-7 days
- Sessions needed: 1-3 sessions, spaced 6-8 weeks apart
4. TCA CROSS (Trichloroacetic Acid Chemical Reconstruction of Skin Scars)
TCA CROSS is a targeted chemical peel technique where high-strength TCA (70-100%) is applied directly into ice pick and deep boxcar scars to stimulate collagen production and gradually fill in depressions.
- Best for: Ice pick scars, deep boxcar scars
- Downtime: Scabbing for 7-10 days, redness for up to 2 weeks
- Sessions needed: 2-4 sessions, spaced 6-8 weeks apart
Personalized Treatment Plans
Each treatment is customized based on scar type, skin type, and severity. A combination of treatments often provides the best results. We also integrate medical-grade skincare and post-treatment care to enhance healing and optimize results.
Frequently Asked Questions About Acne Scars
What types of acne scars do you treat?
Acne scars can look very different depending on how the skin heals after inflammation. At EMAN Aesthetics, we treat both depressed and raised scars, along with lingering discoloration. Depressed scars form when the skin does not rebuild enough supportive tissue. These may appear as narrow, deep marks, wider indented areas with defined edges, or uneven rippling caused by underlying tethering. Raised scars develop when the body produces excess repair tissue, creating thickened areas above the skin’s surface. Some patients also experience dark spots after acne heals, which are not true scars but can affect overall tone. During your consultation, Dr. Jehangir Ansari carefully evaluates your skin to determine the most effective treatment approach.
Why is a combination approach often recommended?
Most patients have more than one scar pattern, which is why a single treatment rarely provides complete improvement. A combination approach allows us to address different depths and textures within the same treatment plan. One therapy may stimulate collagen across broader areas, while another targets deeper, more stubborn depressions. By layering treatments over time, we can achieve smoother, more balanced results. This customized strategy focuses on gradual collagen rebuilding and controlled remodeling for natural-looking improvement rather than temporary surface changes.
How does microneedling help improve acne scars?
Microneedling uses a precision device with ultra-fine needles to create tiny openings in the skin. These controlled micro-perforations signal the body to begin repairing the treated area by generating new collagen and elastin. As fresh support structures form beneath the surface, mild to moderate depressed scars become softer and less noticeable. This treatment works well for early atrophic scars and overall texture concerns. Most patients experience redness for one to two days. A series of 3-6 sessions spaced several weeks apart is typically recommended for optimal results.
What are the benefits of RF microneedling?
RF microneedling builds upon traditional microneedling by adding radiofrequency energy into deeper layers of the skin. The controlled heat enhances collagen remodeling and encourages mild tightening, making it particularly helpful for moderate to deeper scars. As it reaches deeper into the dermis, it can produce more noticeable structural improvements over time. Temporary redness or swelling may occur for a few days. Treatments are usually performed in a series spaced 4-6 weeks apart to allow gradual, steady progress.
What is subcision with the Taylor Liberator?
Subcision is a minimally invasive procedure that releases fibrous strands beneath the skin that pull certain scars downward. At EMAN Aesthetics, we use the Taylor Liberator, an advanced instrument that precisely separates these tethered areas. Once released, the skin can lift more evenly, and new collagen forms in the treated space. Mild swelling or bruising may last several days. Depending on the severity of the scar, 1-3 sessions may be recommended.
How does TCA CROSS treat deep ice pick scars?
TCA CROSS is a focused technique for narrow, deep indentations that do not respond well to broader treatments. A carefully selected strength of trichloroacetic acid is applied directly within each scar to stimulate internal collagen rebuilding. Over time, the depression gradually becomes shallower as new tissue develops. Mild scabbing for about a week and temporary redness are expected. Typically, 2-4 sessions are required to see noticeable improvement.
Schedule a Consultation
At EMAN Aesthetics, we believe in science-backed, results-driven acne scar treatments. Book a consultation today to get a customized plan tailored to your skin!
Dr. Jehangir Ansari
Dr. Jehangir Ansari, the CEO and Medical Director of Eman Aesthetics, is a visionary in the field of aesthetic medicine. As a board-certified physician in Internal and Aesthetic Medicine, he blends science with beauty to create a harmonious approach to skincare. He brings a wealth of knowledge and expertise to his practice, utilizing them to provide the best skincare experience for patients.
Dr. Ansari founded Eman Aesthetics as a sanctuary for open dialogue and personalized care. He strives to offer the most advanced treatments tailored to everyone’s unique needs, creating a space where everyone feels comfortable discussing their skin concerns.
